Point Value: 100
Weighted Value: Formative Assessment- 30%
Refer to the Journal Article Grading Rubric and the criteria below. Please note that the course textbook is the source to be used when completing this assignment.
Your Journal Assignment:
* will be a minimum of 1 1/2-2 full pages, Times New Roman font size 12, double-spaced.
Important: Responses are to be written in paragraph format. A paragraph consists of 6 sentences; a topic sentence, 3-4 supporting sentences, and a closing sentence.
Chapter 4 covers health care principles such as confidentiality, nonmaleficence, etc. Theories and perspectives provide both the framework and tools to be used by health care professionals when faced with ethical dilemmas. Note that not one theory or principle is viewed as being better than another; all have important elements that benefit moral thinking. Principles are more easily used when faced with ethical dilemmas on a daily basis.
Apply the following health care principles to the case study below: autonomy, beneficence, justice, and nonmaleficence.
“At age 89, Sam Levine is admitted to the hospital with bronchial pneumonia, advanced pulmonary edema(fluid in the lungs), and urinary tract infection. When he checks in he is presented with information about advanced directives, as are all hospital admits. When the question of cardiopulmonary resuscitation (CPR) is raised, Sam responds by saying, “If my heart stops beating, just get it going again.” Gladys, Sam’s wife, agrees with her husband’s request. In order to ensure valid consent, they are given general information about the nature of the treatment (that it may require chest compression, defibrillation, and/or ventilation) and the effectiveness of the treatment. Though it is uncertain whether either of them fully understands, their physician, Dr. Gupta, agrees to respect their wishes.
After 10 days in the hospital, Sam is responding poorly to treatment. His prognosis is dismal and in the words of Dr. Gupta, “Sam’s vital processes just seem to be shutting down.” The nurses want to know what to do if he goes into cardiac arrest. Dr. Gupta, decides to talk to Gladys.
After raising the question CPR with her, Gladys insists she still wants everything done for Sam, including CPR. When the physician proposes talking again to Sam, Gladys becomes quite agitated and says, “don’t harass my husband with such a question a sensitive question at a time like this. It would give him the wrong message. How can you ask “do you want to be resuscitated?” without making it sound like a rhetorical question that invites ‘no’ for an answer? I won’t let you do that to him. He already expressed his wish about CPR ten days ago. He was more lucid then than now. So, I think we should go with his earlier decision.”
The Levines’ daughter, Anne, who had been regularly visiting her father at the hospital strongly disagrees. “Mom,” she says, “Dad is 89 years old and lived a good life. The Dr. does not think resuscitation makes any sense for him. Neither do I. When dad said he wanted CPR, I don’t think he had any idea what kind of condition he would be in. It is cruel to think of putting him through that. We need to think of what he would want now, not what he said 10 days ago!”
“Well, Anne,”Gladys replies, “I was always taught that where there’s life there’s hope. And your dad made his wishes very clear.”
Given what has already happened, Sam’s condition, and the disagreement between Gladys and her daughter, Anne, what should Dr. Gupta do?
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